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What does a Mental Health assessment involve?

The idea of a mental health assessment can be intimidating, especially if you’re not sure what it involves or why it’s needed. In reality, these assessments are simply conversations designed to help understand how you’re feeling and what kind of support might be most helpful for you.

Mental health assessments can take place in different settings. You might have one with your GP, through NHS talking therapy services, or with a mental health professional such as a psychologist, psychiatrist, or mental health nurse. The purpose is not to judge you or “test” you, but to build a picture of your experiences, symptoms, and circumstances.

During an assessment, you’ll usually be asked about how you’ve been feeling emotionally and mentally, how long you’ve been experiencing difficulties, and how they’re affecting your day-to-day life. This might include questions about your mood, sleep, energy levels, anxiety, or ability to cope with work, relationships, or daily tasks. You may also be asked about your physical health, as mental and physical wellbeing are closely linked.

Some assessments include questions about your background, such as major life events, sources of stress, or any previous experiences with mental health support. You might also be asked about your support network and what has or hasn’t helped you in the past. While this can feel personal, you’re always allowed to take your time and share only what you feel comfortable discussing.

Based on this conversation, the professional carrying out the assessment will talk with you about next steps. This could involve self-help strategies, referral to NHS talking therapies, specialist support, or discussing whether medication might help. Nothing should be decided without your involvement. The process should feel collaborative and centred around your needs.

If you’re feeling nervous about an assessment, it can help to remember that there are no right or wrong answers. You don’t need to have everything figured out or explain everything perfectly. A mental health assessment is a starting point in your care. It’s a way for you to be heard, understood, and guided toward the right support.

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